2014, Number 1
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Acta Med 2014; 12 (1)
Recombinant human TSH in the treatment and evaluation of papillary thyroid cancer
Hurtado-López LM, Miracle-López S
Language: Spanish
References: 16
Page: 13-16
PDF size: 139.54 Kb.
ABSTRACT
Background: The objective of this study is to evaluate the elevation of TSH and the quality of life after the administration of recombinant human thyrotropin (rhTSH) for the treatment and follow-up of papillary thyroid cancer without hypothyroidism.
Material and methods: Prospective, longitudinal, comparative study. Two groups were compared; G1: patients without hypothyroidism and administration of rhTSH, G2: patients with four weeks hypothyroidism. Studied variables: levels of TSH, quality of life, cold intolerance, dry skin, palpebral edema, foot edema, constipation, sleep disorders, weight gain, diminished physical activity, memory loss and general side effects. The statistical analysis was made by means of chi square and Fisher and Yates exact probability, with level of significance of p = 0.05.
Results: G1 (n = 21) and G2 (n = 25). In both groups the TSH rose above of 30 µU/mL and the average of elevation of each group did not have statistical difference (p = 0.098). The evaluation of quality of life had statistical difference (p ‹ 0.001) in favor of G1. All the other variables also had statistically significant difference (p ‹ 0.001) in favor of G1. One G1 patient felt nausea of slight intensity.
Conclusion: The administration of recombinant human thyrotropin offers adequate levels of TSH elevation without altering the quality of life.
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